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Telehealth   Digital   Stethoscope   Project  June 1 2007
EASE and Telehealth The EASE clinic is a rapid access clinic for new outpatient cardiac consultations with a single contac...
EASE and Telehealth <ul><li>Current Cardiac EASE Telehealth program limits physical exam  </li></ul><ul><li>Restricts use ...
Current Use of Telehealth in EASE <ul><li>Follow-up </li></ul><ul><ul><li>Review of test results </li></ul></ul><ul><ul><l...
Current Use of Telehealth in EASE <ul><li>New patient consultations when physical exam is not critical </li></ul><ul><li>R...
Digital Stethoscope Equipment 1. Digital stethoscope allows physical exam remotely 2. Camera allows close visual assessmen...
<ul><li>Patient at his local telehealth site with support staff (RN) and stethoscope transmitter </li></ul><ul><li>EASE st...
Initially, it is planned that a follow-up visit at the U of A hospital site will be used to validate the accuracy of the r...
Goals <ul><li>Rapid clinical assessment via telehealth technology with more detailed exam  </li></ul><ul><li>Increased dia...
Goals <ul><li>Appropriate triage </li></ul><ul><li>Shorter wait times (currently 3-5 months for traditional referral patte...
Process <ul><li>Target new patient referrals to the EASE program from partnered health regions </li></ul><ul><li>Equipment...
Process <ul><li>Recruit 150-200 patients from new referrals to the EASE clinic who reside in the partnered  health regions...
Current Status <ul><li>One partnered region is ready and first few patients will be examined next week </li></ul><ul><li>2...
 
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Telehealth Digital Stethoscope Project June 1 2007

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Telehealth Digital Stethoscope Project June 1 2007

  1. 1. Telehealth Digital Stethoscope Project June 1 2007
  2. 2. EASE and Telehealth The EASE clinic is a rapid access clinic for new outpatient cardiac consultations with a single contact point and rapid triage.
  3. 3. EASE and Telehealth <ul><li>Current Cardiac EASE Telehealth program limits physical exam </li></ul><ul><li>Restricts use of telehealth to follow-up visits when physical exam is not required </li></ul><ul><ul><ul><li>Review of history/symptoms </li></ul></ul></ul><ul><ul><ul><li>Vital Signs </li></ul></ul></ul><ul><ul><ul><li>Prearranged lab work </li></ul></ul></ul>
  4. 4. Current Use of Telehealth in EASE <ul><li>Follow-up </li></ul><ul><ul><li>Review of test results </li></ul></ul><ul><ul><li>Assess response to treatment </li></ul></ul><ul><li>Education </li></ul><ul><ul><li>Risk reduction </li></ul></ul><ul><ul><li>CHF </li></ul></ul><ul><ul><li>Drug therapy </li></ul></ul>
  5. 5. Current Use of Telehealth in EASE <ul><li>New patient consultations when physical exam is not critical </li></ul><ul><li>Review history, test results, medications </li></ul><ul><li>Discuss invasive procedures </li></ul>Electrophysiologists
  6. 6. Digital Stethoscope Equipment 1. Digital stethoscope allows physical exam remotely 2. Camera allows close visual assessment of specific areas and of documents
  7. 7. <ul><li>Patient at his local telehealth site with support staff (RN) and stethoscope transmitter </li></ul><ul><li>EASE staff at the U of A hospital telehealth site </li></ul><ul><ul><li>interviews patient </li></ul></ul><ul><ul><li>exams patient with assistance of trained RN at the local site </li></ul></ul>
  8. 8. Initially, it is planned that a follow-up visit at the U of A hospital site will be used to validate the accuracy of the remote stethoscope examination
  9. 9. Goals <ul><li>Rapid clinical assessment via telehealth technology with more detailed exam </li></ul><ul><li>Increased diagnostic certainty </li></ul><ul><li>Improve patients’ access to specialized Cardiology services in their own region including the initial assessment </li></ul>
  10. 10. Goals <ul><li>Appropriate triage </li></ul><ul><li>Shorter wait times (currently 3-5 months for traditional referral pattern) </li></ul><ul><li>Reduced travel times </li></ul><ul><li>Build remote/rural capacity </li></ul><ul><li>Improve patient satisfaction </li></ul>
  11. 11. Process <ul><li>Target new patient referrals to the EASE program from partnered health regions </li></ul><ul><li>Equipment including AMD-3200 Simulscope </li></ul><ul><li>Funds to support our partnering regions </li></ul><ul><li>Funds to support purchase, training and use of the equipment </li></ul>
  12. 12. Process <ul><li>Recruit 150-200 patients from new referrals to the EASE clinic who reside in the partnered health regions </li></ul><ul><li>Remote history and physical exam </li></ul><ul><li>Validate equipment with a follow-up visit on-site and appropriate diagnostic tests, comparing accuracy of remote assessment with local assessment </li></ul>
  13. 13. Current Status <ul><li>One partnered region is ready and first few patients will be examined next week </li></ul><ul><li>2 more regions in process </li></ul>

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